facebook tracking Level 3 Electrophysiologic Procedures cost in Colorado: 25 hospitals compared (APC 5213)

Level 3 Electrophysiologic Procedures in Colorado

What 25 hospitals in Colorado charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.

APC 5213 Outpatient 2024 Medicare data
Average charge $192,296 Hospital list price billed
Average allowed $22,544 Medicare's payment + patient's share
Medicare paid $20,910 Average per service
State rank #30 of 46 1 = lowest average payment

Hospitals in Colorado billed an average of $192,296 for level 3 electrophysiologic procedures, about 8.5 times the average medicare-allowed amount of $22,544. That payment is about the same as the U.S. average of $22,751.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $22,544Billed $192,296

About 12¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 3 electrophysiologic procedures

Every Colorado hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Medical Center of the RockiesLoveland 258 $140,478 $21,975 $20,341
University of Colorado Hospital Anschutz InpatientAurora 227 $222,485 $22,458 $20,821
Centura Health-Porter Adventist HospitalDenver 226 $172,756 $22,365 $20,731
Memorial Hospital CentralColorado Springs 201 $211,841 $22,494 $20,864
St Mary's Hospital and Medical CenterGrand Junction 139 $159,512 $24,149 $22,512
Poudre Valley HospitalFort Collins 130 $132,794 $22,550 $20,915
Medical Center of Aurora, theAurora 127 $190,786 $22,550 $20,917
Centura Health-Penrose St Francis Health ServicesColorado Springs 122 $134,652 $22,378 $20,746
Boulder Community HospitalBoulder 116 $353,955 $22,189 $20,555
Exempla Saint Joseph HospitalDenver 92 $246,311 $22,338 $20,702
Centura Health-St Anthony Central HospitalDenver 78 $131,162 $22,550 $20,912
Exempla Lutheran Medical CenterWheat Ridge 57 $243,787 $22,550 $20,918
Parkview Medical Center INCPueblo 54 $153,710 $22,162 $20,530
Valley View Hospital AssociationGlenwood Springs 53 $122,206 $24,149 $22,506
North Colorado Medical CenterGreeley 45 $116,947 $22,638 $21,006
Rose Medical CenterDenver 44 $520,747 $22,550 $20,916
Exempla Good Samaritan Medical Center LLCLafayette 38 $259,394 $22,550 $20,918
Vail Valley Medical CenterVail 28 $70,758 $24,149 $22,513
Banner Fort Collins Medical CenterFort Collins 22 $141,374 $21,599 $19,965
Swedish Medical CenterEnglewood 18 $306,725 $21,388 $19,743
Centura Health-St Anthony North HospitalWestminster 13 $137,198 $22,550 $20,918
Platte Valley Medical CenterBrighton – – – –
Denver Health Medical CenterDenver – – – –
Presbyterian/St Luke's Medical CenterDenver – – – –
HCA Healthone Mountain RidgeThornton – – – –
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Lowest and highest allowed amounts in Colorado

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Swedish Medical CenterEnglewood, CO$21,388
Banner Fort Collins Medical CenterFort Collins, CO$21,599
Medical Center of the RockiesLoveland, CO$21,975
Parkview Medical Center INCPueblo, CO$22,162
Boulder Community HospitalBoulder, CO$22,189

Highest

Level 3 Electrophysiologic Procedures in other states

Questions

How much does level 3 electrophysiologic procedures cost in Colorado?

In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 25 hospitals in Colorado was billed at $192,296 on average, while the average medicare-allowed amount was $22,544, of which Medicare paid $20,910. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Colorado, average charges were 8.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.